Consultant in Acute Medicine /- complimentary specialty
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team. On day two of a patients stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
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